LOINC Panel Details 85909-0 PATIENT HISTORY AND DIAGNOSES

57204-0 From which of the following Inpatient Facilities was the patient discharged within the past 14 days?

Observation ID in Form

M1000

Skip Logic

If NA, go to M1017.

Form Coding Instructions

Mark all that apply

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Inpatient discharge facility within the past 14D
Property: Type
Time: 14D
System: ^Patient
Scale: Nom
Method: CMS Assessment

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.63
Change Reason: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Changed TIME from Pt to 14D to reflect the term definition "within the past 14 days"; Added timing to the Component to follow LOINC convention
Order vs. Observation: Observation

Normative Answer List LL775-8

Answer	Code	Answer ID
Long-term nursing facility (NF)	1	LA12115-4
Skilled nursing facility (SNF/TCU)	2	LA10080-2
Short-stay acute hospital (IPPS)	3	LA10078-6
Long-Term Care Hospital (LTCH)	4	LA10000-0
Inpatient rehabilitation hospital or unit (IRF)	5	LA9986-6
Psychiatric hospital or unit	6	LA10065-3
Other (specify)	7	LA6310-2
Patient was not discharged from an inpatient facility	NA	LA6342-5

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57191-9	Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
88368-6	Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99160-4	Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]

Related Codes

Code System	Code	Code Version
CMS OASIS	M1000	D1
CMS OASIS	M1000	E
CMS OASIS	M1000	D
CMS OASIS	M1000	C2

86470-2 Inpatient Discharge Date (most recent)

Observation ID in Form

M1005

Fully-Specified Name

Component: Most recent inpatient discharge date in the last 14D
Property: Date
Time: 14D
System: ^Patient
Scale: Qn
Method: CMS Assessment

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.63
Last Updated: Version 2.63
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57191-9	Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
88368-6	Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99160-4	Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]

Example Units

Unit	Source
{mm/dd/yyyy}	Example UCUM Units

Related Codes

Code System	Code	Code Version
CMS OASIS	M1005	E
CMS OASIS	M1005	D
CMS OASIS	M1005	C2
CMS OASIS	M1005	D1

46504-7 Inpatient Facility Diagnosis: ICD-10-CM Code

Term Description

Identifies diagnosis(es) for which patient was receiving treatment in an inpatient facility within the past 14 days. (Past 14 days encompasses the two-week period immediately preceding the start/resumption of care.)
Source: Regenstrief LOINC

Observation ID in Form

M1011a-M1011f

Form Coding Instructions

List each Inpatient Diagnosis and ICD-10-CM code at the level of highest specificity for only those conditions actively treated during an inpatient stay having a discharge date within the last 14 days (no V, W, X, Y, or Z codes or surgical codes). Omit "NA" option on SOC, ROC

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Inpatient stay within last 14D - ICD code
Property: Prid
Time: 14D
System: ^Patient
Scale: Nom
Method: CMS Assessment

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.19
Last Updated: Version 2.61
Change Reason: Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee
Order vs. Observation: Observation

Normative Answer List LL3174-1

Externally Defined: Yes
Code System: ICD
Code System OID: 1.3.6.1.4.1.12009.10.1.2055
Link to External List: http://www.cdc.gov/nchs/icd/icd10cm.htm

Member of these Panels

LOINC	Long Common Name
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57191-9	Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
86244-1	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]

Related Codes

Code System	Code	Code Version
CMS OASIS	M1011	C2
CMS OASIS	M1011a	C2
CMS OASIS	M1011b	C2
CMS OASIS	M1011c	C2
CMS OASIS	M1011d	C2
CMS OASIS	M1011e	C2
CMS OASIS	M1011f	C2

46507-0 Diagnosis Requiring Medical or Treatment Regimen Change Within Past 14 Days

Term Description

Identifies the diagnosis(es) that have caused an addition or change to the patient's treatment, regimen, health care services received, or medication within the past 14 days. (Past 14 days encompasses the two-week period immediately preceding the start/resumption of care [or the date of the follow-up/discharge visit].)
Source: Regenstrief LOINC

Observation ID in Form

M1017a-M0107f

Form Coding Instructions

Diagnoses Requiring Medical or Treatment Regimen Change Within Past 14 Days: List the patient's Medical Diagnoses and ICD-10-CM codes at the level of highest specificity for those conditions requiring changed medical or treatment regimen within the past 14 days (no V, W, X, Y, or Z codes or surgical codes)

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Regimen change in past 14D - ICD code
Property: Prid
Time: 14D
System: ^Patient
Scale: Nom
Method: CMS Assessment

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.19
Last Updated: Version 2.61
Change Reason: Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee
Order vs. Observation: Observation

Normative Answer List LL3174-1

Externally Defined: Yes
Code System: ICD
Code System OID: 1.3.6.1.4.1.12009.10.1.2055
Link to External List: http://www.cdc.gov/nchs/icd/icd10cm.htm

Member of these Panels

LOINC	Long Common Name
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57191-9	Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]

Related Codes

Code System	Code	Code Version
CMS OASIS	M0107f	C2
CMS OASIS	M1017	C2
CMS OASIS	M1017a	C2
CMS OASIS	M1017b	C2
CMS OASIS	M1017c	C2
CMS OASIS	M1017d	C2
CMS OASIS	M1017e	C2

86469-4 Conditions Prior to Medical or Treatment Regimen Change or Inpatient Stay Within Past 14 Days

Observation ID in Form

M1018

Form Coding Instructions

If this patient experienced an inpatient facility discharge or change in medical or treatment regimen within the past 14 days, indicate any conditions that existed prior to the inpatient stay or change in medical or treatment. (Mark all that apply.)

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Conditions prior to medical or treatment regimen change or inpatient stay that took place within past 14D
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.63
Last Updated: Version 2.77
Change Reason: Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;
Order vs. Observation: Observation

Normative Answer List LL252-8

Answer	Code	Answer ID
Urinary incontinence	1	LA6436-5
Indwelling/suprapubic catheter	2	LA6240-1
Intractable pain	3	LA6243-5
Impaired decision-making	4	LA6227-8
Disruptive or socially inappropriate behavior	5	LA27596-8
Memory loss to the extent that supervision required	6	LA6261-7
None of the above	7	LA9-3
No inpatient facility discharge and no change in medical/treatment regimen in past 14 days	NA	LA6282-3
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	UK	LA4489-6

Member of these Panels

LOINC	Long Common Name
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]

Related Codes

Code System	Code	Code Text	Code Version
CMS OASIS	M1018		C2

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.

85911-6 Diagnoses, Symptom Control, and Optional Diagnoses

Observation ID in Form

M1021, M1023, M1025

Form Coding Instructions

List each diagnosis for which the patient is receiving home care in Column 1, and enter its ICD-10-CM code at the level of highest specificity in Column 2 (diagnosis codes only - no surgical or procedure codes allowed). Diagnoses are listed in the order that best reflects the seriousness of each condition and supports the disciplines and services provided. Rate the degree of symptom control for each condition in Column 2. ICD-10-CM sequencing requirements must be followed if multiple coding is indicated for any diagnoses. If a Z-code is reported in Column 2 in place of a diagnosis that is no longer active (a resolved condition), then optional item M1025 (Optional Diagnoses - Columns 3 and 4) may be completed. Diagnoses reported in M1025 will not impact payment

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Diagnoses, symptom control, and optional diagnoses
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.63
Last Updated: Version 2.77
Change Reason: Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
86244-1	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]

85912-4 Primary Diagnosis

Observation ID in Form

M1021

Form Coding Instructions

Column 1: Diagnoses (Sequencing of diagnoses should reflect the seriousness of each condition and support the disciplines and services provided). Column 2: ICD-10-CM and symptom control rating for each condition. Note that the sequencing of these ratings may not match the sequencing of the diagnoses. Column 3: May be completed if a Z-code is assigned to Column 2 and the underlying diagnosis is resolved. Column 4: Complete only if the Optional Diagnosis is a multiple coding situation (for example: a manifestation code)

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Primary diagnosis
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.63
Last Updated: Version 2.77
Change Reason: Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
86244-1	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]

Related Codes

Code System	Code	Code Text	Code Version
CMS OASIS	M1021		C2

86255-7 Primary Diagnosis: ICD-10-code

Term Description

The condition that is the chief reason for providing care.
Source: Regenstrief LOINC

Observation ID in Form

M1021_A2_ICD

Form Coding Instructions

Column 1: Enter the description of the diagnosis. Sequencing of diagnoses should reflect the seriousness of each condition and support the disciplines and services provided. Column 2: Enter the ICD-10-CM code for the condition described in Column 1 - no surgical or procedure codes allowed. Codes must be entered at the level of highest specificity and ICD-10-CM coding rules and sequencing requirements must be followed. Note that external cause codes (ICD-10-CM codes beginning with V, W, X, or Y) may not be reported in M1021 (Primary Diagnosis) but may be reported in M1023 (Secondary Diagnoses). Also note that when a Z-code is reported in Column 2, the code for the underlying condition can often be entered in Column 2, as long as it is an active on-going condition impacting home health care

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Primary diagnosis ICD code
Property: Type
Time: Pt
System: ^Patient
Scale: Nom
Method

Additional Names

Panel Name
Short Name: Primary Dx ICD code

Basic Attributes

Class: CLIN
Type: Clinical
First Released: Version 2.63
Last Updated: Version 2.73
Order vs. Observation: Both
Common Test Rank Get Info: 17680

Normative Answer List LL3174-1

Externally Defined: Yes
Code System: ICD
Code System OID: 1.3.6.1.4.1.12009.10.1.2055
Link to External List: http://www.cdc.gov/nchs/icd/icd10cm.htm

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
52747-3	Continuity Assessment Record and Evaluation (CARE) tool - Expired
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57192-7	Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up
57191-9	Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
86244-1	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
88369-4	Outcome and assessment information set (OASIS) form - version D - Follow-up - recertification or other follow-up during assessment period [CMS Assessment]
88368-6	Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
93058-6	Outcome and assessment information set (OASIS) form - version D1 - Follow-up - recertification or other follow-up during assessment period [CMS Assessment]
99160-4	Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Código ICD de diagnóstico primario:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Diagnosi primaria codice ICD:Tipo:Pt:^Paziente:Nom: Synonyms: Clinico paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	主要诊断 ICD 代码:类型:时间点:^患者:名义型: Synonyms: ICD 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人国际疾病分类（International Classification of Diseases，ICD）国际疾病分类;international Classification of diseases;ICD 国际疾病分类法国际疾病分类系统型时刻;随机;随意;瞬间诊断 ICD 编码;ICD 诊断代码;ICD 诊断编码;国际疾病分类;international Classification of diseases;ICD 诊断结论;判断;结论

Related Codes

Code System	Code	Code Version
CMS OASIS	M1021_A2_ICD	E
CMS OASIS	M1021_A2_ICD	D
CMS OASIS	M1021_A2_ICD	C2
CMS OASIS	M1021_A2_ICD	D1

85920-7 Primary Diagnosis Symptom Control Rating

Term Description

Assessment of the degree of symptom control includes review of presenting signs and symptoms, type and number of medications, frequency of treatment readjustments, and frequency of contact with health care provider, the degree to which each condition limits daily activities, and if symptoms are controlled by current treatments.
Source: Regenstrief LOINC

Observation ID in Form

M1021_A2_Severity

Form Coding Instructions

Rate the degree of symptom control for the condition listed in Column 1. Do not assign a symptom control rating if the diagnosis code is a V, W, X, Y or Z-code. Note that the rating for symptom control in Column 2 should not be used to determine the sequencing of the diagnoses listed in Column 1. These are separate items and sequencing may not coincide

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Symptom control rating
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.63
Last Updated: Version 2.77
Change Reason: Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;
Order vs. Observation: Observation

Normative Answer List LL4489-2

Answer	Code	Answer ID
Asymptomatic, no treatment needed at this time	0	LA27597-6
Symptoms well controlled with current therapy	1	LA27598-4
Symptoms controlled with difficulty, affecting daily functioning; patient needs ongoing monitoring	2	LA27599-2
Symptoms poorly controlled; patient needs frequent adjustment in treatment and dose monitoring	3	LA27600-8
Symptoms poorly controlled; history of re-hospitalizations	4	LA27601-6

Member of these Panels

LOINC	Long Common Name
86244-1	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
88369-4	Outcome and assessment information set (OASIS) form - version D - Follow-up - recertification or other follow-up during assessment period [CMS Assessment]
88368-6	Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
93058-6	Outcome and assessment information set (OASIS) form - version D1 - Follow-up - recertification or other follow-up during assessment period [CMS Assessment]
99160-4	Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]

Related Codes

Code System	Code	Code Version
CMS OASIS	M1021_A2_Severity	E
CMS OASIS	M1021_A2_Severity	D
CMS OASIS	M1023_B2_Severity	D
CMS OASIS	M1023_C2_Severity	D
CMS OASIS	M1023_D2_Severity	D
CMS OASIS	M1023_E2_Severity	D
CMS OASIS	M1023_F2_Severity	D
CMS OASIS	M1021_A2_Severity	C2
CMS OASIS	M1023_B2_Severity	C2
CMS OASIS	M1023_C2_Severity	C2
CMS OASIS	M1023_D2_Severity	C2
CMS OASIS	M1023_E2_Severity	C2
CMS OASIS	M1023_F2_Severity	C2
CMS OASIS	M1021_A2_Severity	D1
CMS OASIS	M1023_B2_Severity	D1
CMS OASIS	M1023_C2_Severity	D1
CMS OASIS	M1023_D2_Severity	D1
CMS OASIS	M1023_E2_Severity	D1
CMS OASIS	M1023_F2_Severity	D1

85914-0 Optional Diagnosis: ICD-10-CM

Term Description

An underlying condition for an on-going diagnosis that has already resolved. This does not include underlying conditions for an on-going diagnosis that is also on-going; that condition can be reported as a secondary or co-morbid diagnosis.
Source: Regenstrief LOINC

Observation ID in Form

M1025_A3

Form Coding Instructions

Column 3: (OPTIONAL) There is no requirement that HHAs enter a diagnosis code in M1025 (Columns 3 and 4). Diagnoses reported in M1025 will not impact payment. Agencies may choose to report an underlying condition in M1025 (Columns 3 and 4) when: a Z-code is reported in Column 2 AND the underlying condition for the Z-code in Column 2 is a resolved condition. An example of a resolved condition is uterine cancer that is no longer being treated following a hysterectomy

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Underlying resolved condition ICD code
Property: Prid
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.63
Last Updated: Version 2.77
Change Reason: Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;
Order vs. Observation: Observation

Normative Answer List LL3174-1

Externally Defined: Yes
Code System: ICD
Code System OID: 1.3.6.1.4.1.12009.10.1.2055
Link to External List: http://www.cdc.gov/nchs/icd/icd10cm.htm

Member of these Panels

LOINC	Long Common Name
86244-1	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]

Related Codes

Code System	Code	Code Version
CMS OASIS	M1025	C2
CMS OASIS	M1025_A3	C2
CMS OASIS	M1025_B3	C2
CMS OASIS	M1025_C3	C2
CMS OASIS	M1025_D3	C2
CMS OASIS	M1025_E3	C2
CMS OASIS	M1025_F3	C2

86254-0 Optional Diagnosis: ICD-10-CM - multiple coding

Term Description

Additional codes for an underlying condition for an on-going diagnosis that has already resolved. For example, a manifestation code.
Source: Regenstrief LOINC

Observation ID in Form

M1025_B4 - M1025_F4

Form Coding Instructions

Column 4: (OPTIONAL) If a Z-code is reported in M1021/M1023 (Column 2) and the agency chooses to report a resolved underlying condition that requires multiple diagnosis codes under ICD-10-CM coding guidelines, enter the diagnosis descriptions and the ICD-10-CM codes in the same row in Columns 3 and 4. For example, if the resolved condition is a manifestation code, record the diagnosis description and ICD-10- CM code for the underlying condition in Column 3 of that row and the diagnosis description and ICD-10- CM code for the manifestation in Column 4 of that row. Otherwise, leave Column 4 blank in that row

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Underlying resolved condition.multiple coding ICD code
Property: Prid
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.63
Last Updated: Version 2.77
Change Reason: Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
86244-1	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]

Related Codes

Code System	Code	Code Version
CMS OASIS	M1025	C2
CMS OASIS	M1025_B4	C2
CMS OASIS	M1025_C4	C2
CMS OASIS	M1025_D4	C2
CMS OASIS	M1025_E4	C2
CMS OASIS	M1025_F4	C2

85913-2 Other Diagnoses

Term Description

Other/secondary/additional diagnoses that impact a patient's health
Source: Regenstrief LOINC

Observation ID in Form

M1023

Form Coding Instructions

Column 1: Diagnoses (Sequencing of diagnoses should reflect the seriousness of each condition and support the disciplines and services provided). Column 2: ICD-10-CM and symptom control rating for each condition. Note that the sequencing of these ratings may not match the sequencing of the diagnoses. Column 3: May be completed if a Z-code is assigned to Column 2 and the underlying diagnosis is resolved. Column 4: Complete only if the Optional Diagnosis is a multiple coding situation (for example: a manifestation code)

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Other diagnoses
Property: -
Time: RptPeriod
System: ^Patient
Scale: -
Method: CMS Assessment

Basic Attributes

Class: PANEL.SURVEY.CMS
Type: Surveys
First Released: Version 2.63
Last Updated: Version 2.77
Change Reason: Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;
Order vs. Observation: Subset
Panel Type: Organizer

Member of these Panels

LOINC	Long Common Name
86244-1	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]

Related Codes

Code System	Code	Code Text	Code Version
CMS OASIS	M1023		C2

81885-6 Other Diagnoses: ICD-10-CM

Observation ID in Form

M1023_B2_ICD-M1023_F2_ICD

Fully-Specified Name

Component: Diagnosis.secondary
Property: Imp
Time: Pt
System: ^Patient
Scale: Nom
Method

Additional Names

Panel Name
Short Name: Dx.secondary

Basic Attributes

Class: CLIN
Type: Clinical
First Released: Version 2.56
Last Updated: Version 2.73
Order vs. Observation: Observation
Common Test Rank Get Info: 11495

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
86244-1	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
88369-4	Outcome and assessment information set (OASIS) form - version D - Follow-up - recertification or other follow-up during assessment period [CMS Assessment]
88368-6	Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
93058-6	Outcome and assessment information set (OASIS) form - version D1 - Follow-up - recertification or other follow-up during assessment period [CMS Assessment]
99160-4	Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]

Language Variants Get Info

Tag	Language	Translation
es-MX	Spanish (Mexico)	Diagnóstico secundario:Interpretación:Punto temporal:^ Paciente:Nominal:
it-IT	Italian (Italy)	Diagnosi.secondaria:Imp:Pt:^Paziente:Nom: Synonyms: Clinico Diagnosi secondaria Impressione/interpretazione di studio paziente Punto nel tempo (episodio)
zh-CN	Chinese (China)	诊断.次要:印象:时间点:^患者:名义型: Synonyms: 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答医疗服务对象;客户;病人;病患;病号;超系统 - 病人印象是一种诊断陈述，始终是对其他某种观察指标的解释或抽象（一系列检验项目结果、一幅图像或者整个某位病人），而且几乎总是由某位专业人员产生。;检查印象;检查印象/解释;检查的印象/解释;检查解释;解释;阐释时刻;随机;随意;瞬间次要诊断;诊断.次要（次级、次）;次诊断;次级诊断诊断结论;判断;结论

Related Codes

Code System	Code	Code Version
CMS OASIS	M1023_B2_ICD	D1
CMS OASIS	M1023_C2_ICD	D1
CMS OASIS	M1023_D2_ICD	D1
CMS OASIS	M1023_E2_ICD	D1
CMS OASIS	M1023_F2_ICD	D1
CMS OASIS	M1023_B2_ICD	D
CMS OASIS	M1023_C2_ICD	D
CMS OASIS	M1023_D2_ICD	D
CMS OASIS	M1023_E2_ICD	D
CMS OASIS	M1023_F2_ICD	D
CMS OASIS	M1023_B2_ICD	C2
CMS OASIS	M1023_C2_ICD	C2
CMS OASIS	M1023_D2_ICD	C2
CMS OASIS	M1023_E2_ICD	C2
CMS OASIS	M1023_F2_ICD	C2

85920-7 Other Diagnoses Symptom Control Rating

Term Description

Assessment of the degree of symptom control includes review of presenting signs and symptoms, type and number of medications, frequency of treatment readjustments, and frequency of contact with health care provider, the degree to which each condition limits daily activities, and if symptoms are controlled by current treatments.
Source: Regenstrief LOINC

Observation ID in Form

M1023_B2_Severity - M1023_F2_Severity

Form Coding Instructions

Rate the degree of symptom control for the condition listed in Column 1. Do not assign a symptom control rating if the diagnosis code is a V, W, X, Y or Z-code. Note that the rating for symptom control in Column 2 should not be used to determine the sequencing of the diagnoses listed in Column 1. These are separate items and sequencing may not coincide

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Symptom control rating
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.63
Last Updated: Version 2.77
Change Reason: Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;
Order vs. Observation: Observation

Normative Answer List LL4489-2

Answer	Code	Answer ID
Asymptomatic, no treatment needed at this time	0	LA27597-6
Symptoms well controlled with current therapy	1	LA27598-4
Symptoms controlled with difficulty, affecting daily functioning; patient needs ongoing monitoring	2	LA27599-2
Symptoms poorly controlled; patient needs frequent adjustment in treatment and dose monitoring	3	LA27600-8
Symptoms poorly controlled; history of re-hospitalizations	4	LA27601-6

Member of these Panels

LOINC	Long Common Name
86244-1	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
88369-4	Outcome and assessment information set (OASIS) form - version D - Follow-up - recertification or other follow-up during assessment period [CMS Assessment]
88368-6	Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
93058-6	Outcome and assessment information set (OASIS) form - version D1 - Follow-up - recertification or other follow-up during assessment period [CMS Assessment]
99160-4	Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]

Related Codes

Code System	Code	Code Version
CMS OASIS	M1021_A2_Severity	E
CMS OASIS	M1021_A2_Severity	D
CMS OASIS	M1023_B2_Severity	D
CMS OASIS	M1023_C2_Severity	D
CMS OASIS	M1023_D2_Severity	D
CMS OASIS	M1023_E2_Severity	D
CMS OASIS	M1023_F2_Severity	D
CMS OASIS	M1021_A2_Severity	C2
CMS OASIS	M1023_B2_Severity	C2
CMS OASIS	M1023_C2_Severity	C2
CMS OASIS	M1023_D2_Severity	C2
CMS OASIS	M1023_E2_Severity	C2
CMS OASIS	M1023_F2_Severity	C2
CMS OASIS	M1021_A2_Severity	D1
CMS OASIS	M1023_B2_Severity	D1
CMS OASIS	M1023_C2_Severity	D1
CMS OASIS	M1023_D2_Severity	D1
CMS OASIS	M1023_E2_Severity	D1
CMS OASIS	M1023_F2_Severity	D1

85914-0 Optional Diagnosis: ICD-10-CM

Term Description

An underlying condition for an on-going diagnosis that has already resolved. This does not include underlying conditions for an on-going diagnosis that is also on-going; that condition can be reported as a secondary or co-morbid diagnosis.
Source: Regenstrief LOINC

Observation ID in Form

M1025_B3-M1025_F3

Form Coding Instructions

Column 3: (OPTIONAL) There is no requirement that HHAs enter a diagnosis code in M1025 (Columns 3 and 4). Diagnoses reported in M1025 will not impact payment. Agencies may choose to report an underlying condition in M1025 (Columns 3 and 4) when: a Z-code is reported in Column 2 AND the underlying condition for the Z-code in Column 2 is a resolved condition. An example of a resolved condition is uterine cancer that is no longer being treated following a hysterectomy

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Underlying resolved condition ICD code
Property: Prid
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.63
Last Updated: Version 2.77
Change Reason: Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;
Order vs. Observation: Observation

Normative Answer List LL3174-1

Externally Defined: Yes
Code System: ICD
Code System OID: 1.3.6.1.4.1.12009.10.1.2055
Link to External List: http://www.cdc.gov/nchs/icd/icd10cm.htm

Member of these Panels

LOINC	Long Common Name
86244-1	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]

Related Codes

Code System	Code	Code Version
CMS OASIS	M1025	C2
CMS OASIS	M1025_A3	C2
CMS OASIS	M1025_B3	C2
CMS OASIS	M1025_C3	C2
CMS OASIS	M1025_D3	C2
CMS OASIS	M1025_E3	C2
CMS OASIS	M1025_F3	C2

86254-0 Optional Diagnosis: ICD-10-CM - multiple coding

Term Description

Additional codes for an underlying condition for an on-going diagnosis that has already resolved. For example, a manifestation code.
Source: Regenstrief LOINC

Observation ID in Form

M1025_B4 - M1025_F4

Form Coding Instructions

Column 4: (OPTIONAL) If a Z-code is reported in M1021/M1023 (Column 2) and the agency chooses to report a resolved underlying condition that requires multiple diagnosis codes under ICD-10-CM coding guidelines, enter the diagnosis descriptions and the ICD-10-CM codes in the same row in Columns 3 and 4. For example, if the resolved condition is a manifestation code, record the diagnosis description and ICD-10- CM code for the underlying condition in Column 3 of that row and the diagnosis description and ICD-10- CM code for the manifestation in Column 4 of that row. Otherwise, leave Column 4 blank in that row

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Underlying resolved condition.multiple coding ICD code
Property: Prid
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.63
Last Updated: Version 2.77
Change Reason: Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;
Order vs. Observation: Observation

Member of these Panels

LOINC	Long Common Name
86244-1	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]

Related Codes

Code System	Code	Code Version
CMS OASIS	M1025	C2
CMS OASIS	M1025_B4	C2
CMS OASIS	M1025_C4	C2
CMS OASIS	M1025_D4	C2
CMS OASIS	M1025_E4	C2
CMS OASIS	M1025_F4	C2

83243-6 Active Diagnoses-Comorbidities and Co-existing Conditions

Observation ID in Form

M1028

Form Coding Instructions

Check all that apply. See OASIS Guidance Manual for a complete list of relevant ICD-10 codes

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Comorbidities and coexisting conditions
Property: Find
Time: Pt
System: ^Patient
Scale: Nom
Method

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.61
Last Updated: Version 2.72
Change Reason: Release 2.72: METHOD_TYP: Removed Method because this concept is not specific to only CMS Assessments.;
Order vs. Observation: Observation

Normative Answer List LL4493-4

Answer	Code	Score	Answer ID
Peripheral vascular disease (PVD) or peripheral arterial disease (PAD)	1		LA18399-8
Diabetes mellitus (DM)	2		LA27539-8

Member of these Panels

LOINC	Long Common Name
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
99357-6	COVID-19 health questions panel
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
89963-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
87509-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
88368-6	Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99160-4	Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]

Related Codes

Code System	Code	Code Text	Code Version
https://www.phenxtoolkit.org	PX940101060100	PX940101_Covid19_Health_Questions_Health_Condition
CMS OASIS	M1028		E
CMS OASIS	M1028		D
CMS OASIS	M1028		C2
CMS OASIS	M1028		D1

46466-9 Therapies the patient receives at home

Term Description

Identifies whether the patient is receiving intravenous, parenteral nutrition, or enteral nutrition therapy at home.
Source: Regenstrief LOINC

Observation ID in Form

M1030

Form Coding Instructions

Mark all that apply

Source: Consensus measures for Phenotypes and Exposures

Fully-Specified Name

Component: Therapeutic substance administered at home
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.19
Last Updated: Version 2.77
Change Reason: Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from OASIS to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Added to the Component to clarify the concept
Order vs. Observation: Observation

Normative Answer List LL254-4

Answer	Code	Answer ID
Intravenous or infusion therapy (excludes TPN)	1	LA6244-3
Parenteral nutrition (TPN or lipids)	2	LA6321-9
Enteral nutrition (nasogastric, gastrostomy, jejunostomy, or any other artificial entry into the alimentary canal)	3	LA6194-0
None of the above	4	LA9-3

Member of these Panels

LOINC	Long Common Name
46462-8	Deprecated Outcome and assessment information set (OASIS) form - version B1
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57192-7	Deprecated Outcome and assessment information set (OASIS) form - version C - Follow-Up
57191-9	Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
86244-1	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Follow-up - recertification or other follow-up [CMS Assessment]
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
88369-4	Outcome and assessment information set (OASIS) form - version D - Follow-up - recertification or other follow-up during assessment period [CMS Assessment]
88368-6	Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
93058-6	Outcome and assessment information set (OASIS) form - version D1 - Follow-up - recertification or other follow-up during assessment period [CMS Assessment]

Related Codes

Code System	Code	Code Version
CMS OASIS	M1030	D1
CMS OASIS	M1030	D
CMS OASIS	M1030	C2

57319-6 Risk for Hospitalization: Which of the following signs or symptoms characterize this patient as at risk for hospitalization?

Observation ID in Form

M1033

Form Coding Instructions

Mark all that apply

Source: Consensus measures for Phenotypes and Exposures

Fully-Specified Name

Component: Risk for hospitalization
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.77
Change Reason: Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms
Order vs. Observation: Observation

Normative Answer List LL4494-2

Answer	Code	Answer ID
History of falls (2 or more falls - or any fall with an injury - in the past 12 months)	1	LA27614-9
Unintentional weight loss of a total of 10 pounds or more in the past 12 months	2	LA27615-6
Multiple hospitalizations (2 or more) in the past 6 months	3	LA27616-4
Multiple emergency department visits (2 or more) in the past 6 months	4	LA27617-2
Decline in mental, emotional, or behavioral status in the past 3 months	5	LA27618-0
Reported or observed history of difficulty complying with any medical instructions (for example, medications, diet, exercise) in the past 3 months	6	LA27619-8
Currently taking 5 or more medications	7	LA27620-6
Currently reports exhaustion	8	LA27621-4
Other risk(s) not listed in 1 - 8	9	LA27622-2
None of the above	10	LA9-3

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57191-9	Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
88368-6	Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
93058-6	Outcome and assessment information set (OASIS) form - version D1 - Follow-up - recertification or other follow-up during assessment period [CMS Assessment]
99153-9	Outcome and assessment information set (OASIS) form - version E - Follow Up during assessment period [CMS Assessment]
99160-4	Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]

Related Codes

Code System	Code	Code Version
CMS OASIS	M1033	D1
CMS OASIS	M1033	D
CMS OASIS	M1033	C2
CMS OASIS	M1033	E

57206-5 Overall Status: Which description best fits the patient's overall status?

Observation ID in Form

M1034

Fully-Specified Name

Component: Overall status
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Ord
Method: CMS Assessment

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.77
Change Reason: Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Moved Survey Question text to Override Display Name for consistent modeling across CMS forms; Changed Scale from Nom to Ord because the Answer List is ordinal
Order vs. Observation: Observation

Normative Answer List LL778-2

Answer	Code	Answer ID
The patient is stable with no heightened risk(s) for serious complications and death (beyond those typical of the patient's age).	0	LA12137-8
The patient is temporarily facing high health risk(s) but is likely to return to being stable without heightened risk(s) for serious complications and death (beyond those typical of the patient's age).	1	LA12138-6
The patient is likely to remain in fragile health and have ongoing high risk(s) of serious complications and death.	2	LA12139-4
The patient has serious progressive conditions that could lead to death within a year.	3	LA10096-8
The patient's situation is unknown or unclear.	UK	LA12141-0

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57191-9	Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]

Related Codes

Code System	Code	Code Text	Code Version
CMS OASIS	M1034		C2

57207-3 Risk factors, either present or past, likely to affect health status and/or outcome

Observation ID in Form

M1036

Form Coding Instructions

Mark all that apply

Source: Consensus measures for Phenotypes and Exposures

Fully-Specified Name

Component: Risk factors affecting health status and or outcome
Property: Find
Time: RptPeriod
System: ^Patient
Scale: Nom
Method: CMS Assessment

Basic Attributes

Class: SURVEY.CMS
Type: Surveys
First Released: Version 2.29
Last Updated: Version 2.77
Change Reason: Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments; Previous Releases: Updated METHOD from OASIS-C to CMS Assessment to use term across CMS instruments as approved by the Clinical LOINC committee; Removed "past or present" from the Component because that is implied
Order vs. Observation: Observation
Common Test Rank Get Info: 16958

Normative Answer List LL779-0

Answer	Code	Answer ID
Smoking	1	LA8928-9
Obesity	2	LA6301-1
Alcohol dependency	3	LA6152-8
Drug dependency	4	LA6189-0
None of the above	5	LA9-3
Unknown Copyright http://snomed.info/sct ID:261665006 Unknown (qualifier value)	UK	LA4489-6

Member of these Panels

LOINC	Long Common Name
57039-0	Deprecated Outcome and assessment information set (OASIS) form - version C
57191-9	Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care
57190-1	Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]

Related Codes

Code System	Code	Code Text	Code Version
CMS OASIS	M1036		C2

Third Party Copyright

This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.

This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.

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54567-3 Height and weight

Observation ID in Form

M1060

Form Coding Instructions

While measuring, if the number is X.1 - X.4 round down; X.5 or greater round up

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Height and weight
Property: -
Time: Pt
System: ^Patient
Scale: -
Method

Basic Attributes

Class: PANEL.SURVEY.MDS
Type: Surveys
First Released: Version 2.27
Last Updated: Version 2.74
Order vs. Observation: Order
Common Test Rank Get Info: 295
Panel Type: Panel

Member of these Panels

LOINC	Long Common Name
103991-6	CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
89963-3	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 3.0 during assessment period [CMS Assessment]
93128-7	Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment]
87509-6	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment]
93222-8	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment]
103949-4	Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment]
90473-0	MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
90477-1	MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
90474-8	MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
90475-5	MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
91552-0	MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
90476-3	MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
101105-5	MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
101107-1	MDS v3.0 - RAI v1.18.11 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
101110-5	MDS v3.0 - RAI v1.18.11 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
101106-3	MDS v3.0 - RAI v1.18.11 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
101113-9	MDS v3.0 - RAI v1.18.11 - Swing bed discharge (SD) item set during assessment period [CMS Assessment]
101112-1	MDS v3.0 - RAI v1.18.11 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
103564-1	MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment]
104606-9	MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment]
104552-5	MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment]
104554-1	MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment]
104607-7	MDS v3.0 - RAI v1.19.1 - Swing Bed discharge (SD) item set during assessment period [CMS Assessment]
104609-3	MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment]
88368-6	Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6	Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
99160-4	Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment]
99131-5	Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]

Related Codes

Code System	Code	Code Version
CMS MDS	K0200	v1.18.11
CMS OASIS	M1060	E
CMS LCDS	K0200	5.00
CMS OASIS	M1060	D1
CMS LCDS	K0200	3.00
CMS MDS	K0200	1.16.1
CMS OASIS	M1060	D
CMS LCDS	K0200	4.00
CMS MDS	K0200	1.14.1
CMS MDS	K0200	1.15.1
CMS OASIS	M1060	C2
CMS MDS	K0200	1.17.1
CMS MDS	K0200	1.17.2

3137-7 Height (in inches)

Observation ID in Form

M1060A

Form Coding Instructions

Record most recent height measure since the most recent SOC/ROC

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Body height
Property: Len
Time: Pt
System: ^Patient
Scale: Qn
Method: Measured

Additional Names

Panel Name
Short Name: Body height Measured

Basic Attributes

Class: BDYHGT.ATOM
Type: Clinical
First Released: Version 1.0
Last Updated: Version 2.73
Order vs. Observation: Both
Common Test Rank Get Info: 372

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
39294-4	Children's preventive health services attachment Set
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
45981-8	Deprecated MDS full assessment form - version 2.0
46103-8	Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6	Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
43142-9	Height measurement device panel
47245-6	HIV treatment form Document
75885-4	IEEE 11073 Rosetta panel
62611-9	PhenX domain - Respiratory
81232-1	Supersaturation panel - 24 hour Urine
86347-2	U.S. standard certificate of live birth - recommended 2003 revision set
86346-4	U.S. standard report of fetal death - recommended 2003 revision set
43143-7	Weighing device panel

Member of these Groups Get Info

LOINC Group	Group Name
LG34373-7	Body height\|Len\|Pt\|^Patient

Language Variants Get Info

Tag	Language	Translation
de-DE	German (Germany)	Körpergröße:Länge:Zeitpunkt:^Patient:Quantitativ:Gemessen
es-AR	Spanish (Argentina)	altura corporal:longitud:punto en el tiempo:^paciente:cuantitativo:medido
es-MX	Spanish (Mexico)	Peso corporal:Len:Punto temporal:^ Paciente:Cuantitativo:Measured
fr-CA	French (Canada)	Taille:Longueur:Temps ponctuel:^Patient:Quantitatif:Mesuré
fr-BE	French (Belgium)	Taille corporelle:Longueur:Temps ponctuel:^Patient:Quantitatif:Mesuré
fr-FR	French (France)	Taille du patient:Longueur:Ponctuel:Patient:Numérique:Résultat mesuré
it-IT	Italian (Italy)	Altezza corporea:Len:Pt:^Paziente:Qn:Misurato Synonyms: Altezza del corpo - atomica Lunghezza paziente Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	lichaamslengte:afmeting:moment:^patiënt:kwantitatief:meting Synonyms: lengte
pt-BR	Portuguese (Brazil)	Estatura:Comprimento:Pt:^Paciente:Qn:Mensurado Synonyms: ; Bdy height; Body length; Axial length; Length; Point in time; Random; Quantitative; QNT; Quant; Quan; bod; Bodies; BODY HEIGHT(LENGTH).ATOM; BODY HEIGHT(LENGTH).ATOM
ru-RU	Russian (Russian Federation)	Рост:Дл:ТчкВрм:^Пациент:Колич:Измеренный Synonyms: Длина Количественный Тело высота Точка во времени;Момент
zh-CN	Chinese (China)	身高:长度:时间点:^患者:定量型:测量法 Synonyms: 一般体长;一般身高;一般身高(长度);体长.原子型;身高(长度).原子型医疗服务对象;客户;病人;病患;病号;超系统 - 病人可用数量表示的;定量性;数值型;数量型;连续数值型标尺时刻;随机;随意;瞬间测定法;量度法;量测法物体身体长度;身体高度;身长身高;身长;身体高度长;长短

Example Units

Unit	Source
[in_us];cm;m	Example UCUM Units

Related Codes

Code System	Code	Code Text	Code Version
urn:iso:std:iso:11073:10101	188740	MDC_LEN_BODY_ACTUAL
https://www.phenxtoolkit.org	PX091601370000	PX091601_Height

3141-9 Weight (in pounds)

Observation ID in Form

M1060B

Form Coding Instructions

Base weight on most recent measure in last 30 days; measure weight consistently, according to standard facility practice (for example, in a.m. after voiding, before meal, with shoes off, etc.)

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component: Body weight
Property: Mass
Time: Pt
System: ^Patient
Scale: Qn
Method: Measured

Additional Names

Panel Name
Short Name: Weight Measured

Basic Attributes

Class: BDYWGT.ATOM
Type: Clinical
First Released: Version 1.0
Last Updated: Version 2.73
Order vs. Observation: Both
Common Test Rank Get Info: 115

Member of these Panels

LOINC	Long Common Name
76464-7	American Physical Therapy Association registry panel
18584-3	Body weight at ambulance transport Set
52416-5	Body weight Set
39294-4	Children's preventive health services attachment Set
52745-7	Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
55168-9	Data Elements for Emergency Department Systems (DEEDS) Release 1.1
52743-2	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Acute Care
52748-1	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
69412-5	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0
52744-0	Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
83265-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.4 [CMS Assessment]
87414-9	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 1.5 [CMS Assessment]
88329-8	Deprecated Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 2.0 [CMS Assessment]
85645-0	Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment]
45981-8	Deprecated MDS full assessment form - version 2.0
46103-8	Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6	Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update
86522-0	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
86872-9	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
86871-1	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
86873-7	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
86856-2	Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment]
86876-0	Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment]
88282-9	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88283-7	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88284-5	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88285-2	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88287-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment]
88292-8	Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88288-6	Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment]
88954-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment]
88945-1	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment]
88946-9	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment]
88947-7	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment]
88949-3	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment]
88955-0	Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment]
88950-1	Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment]
54580-6	Deprecated Minimum Data Set - version 3.0
86189-8	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4	Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
75885-4	IEEE 11073 Rosetta panel
74293-2	Oncology plan of care and summary - recommended CDA set
75854-0	PCORnet common data model set - version 1.0 [PCORnet]
85057-8	PCORnet Common Data Model set - version 3.0 [PCORnet]
62297-7	PhenX - weight - measured weight protocol 021501
62263-9	PhenX domain - Nutrition and dietary supplements
62611-9	PhenX domain - Respiratory
100230-2	Routine prenatal assessment panel
34566-0	Vital signs with method details panel
72513-5	Vital signs with smoking status and pain scale [VSP]
34565-2	Vital signs, weight and height panel
67795-5	Vital signs, weight, height, head circumference and oximetry panel HITSP
74728-7	Vital signs, weight, height, head circumference, oximetry, BMI, and BSA panel
43143-7	Weighing device panel

Member of these Groups Get Info

LOINC Group	Group Name
LG34372-9	Body weight\|Mass\|Pt\|^Patient

Language Variants Get Info

Tag	Language	Translation
de-DE	German (Germany)	Körpergewicht:Masse:Zeitpunkt:^Patient:Quantitativ:Gemessen
de-AT	German (Austria)	Synonyms: Körpergewicht
es-MX	Spanish (Mexico)	Peso corporal:Masa:Punto temporal:^ Paciente:Cuantitativo:Measured
es-AR	Spanish (Argentina)	peso corporal:masa:punto en el tiempo:^paciente:cuantitativo:medido
fr-CA	French (Canada)	Poids:Masse:Temps ponctuel:^Patient:Quantitatif:Mesuré
fr-BE	French (Belgium)	Poids corporel:Masse:Temps ponctuel:^Patient:Quantitatif:Mesuré Synonyms: Poids
fr-FR	French (France)	Poids corporel:Masse:Ponctuel:Patient:Numérique:Résultat mesuré
it-IT	Italian (Italy)	Peso corporeo:Massa:Pt:^Paziente:Qn:Misurato Synonyms: paziente Peso del corpo - atomico Punto nel tempo (episodio)
nl-NL	Dutch (Netherlands)	lichaamsgewicht:massa:moment:^patiënt:kwantitatief:meting
pt-BR	Portuguese (Brazil)	Peso corpóreo:Massa:Pt:^Paciente:Qn:Mensurado Synonyms: ; Wt; Bdy weight; Point in time; Random; Quantitative; QNT; Quant; Quan; bod; Bodies; BODY WEIGHT.ATOM; BODY WEIGHT.ATOM
ru-RU	Russian (Russian Federation)	Масса тела:Масса:ТчкВрм:^Пациент:Колич:Измеренный Synonyms: Количественный Точка во времени;Момент
tr-TR	Turkish (Turkey)	Vücut ağırlığı:Kütle:Zmlı:^Hasta:Kant:Ölçülmüş
zh-CN	Chinese (China)	体重:质量:时间点:^患者:定量型:测量法 Synonyms: 一般体重;一般身体重量;身体重量.原子型医疗服务对象;客户;病人;病患;病号;超系统 - 病人可用数量表示的;定量性;数值型;数量型;连续数值型标尺时刻;随机;随意;瞬间标本重量;重测定法;量度法;量测法物体身体重量重量

Example Units

Unit	Source
[lb_av];kg	Example UCUM Units
lb	REGENSTRIEF

Related Codes

Code System	Code	Code Text
urn:iso:std:iso:11073:10101	188792	MDC_ATTR_PT_WEIGHT_LAST
urn:iso:std:iso:11073:10101	188736	MDC_MASS_BODY_ACTUAL
https://www.phenxtoolkit.org	PX021501030400	PX021501_Measured_Weight_Average_Pounds
https://www.phenxtoolkit.org	PX021501030500	PX021501_Measured_Weight_1_Kilograms
https://www.phenxtoolkit.org	PX021501030600	PX021501_Measured_Weight_2_Kilograms
https://www.phenxtoolkit.org	PX021501030700	PX021501_Measured_Weight_3_Kilograms
https://www.phenxtoolkit.org	PX021501030800	PX021501_Measured_Weight_Average_Kilograms
https://www.phenxtoolkit.org	PX091601380000	PX091601_Weight
https://www.phenxtoolkit.org	PX090602220200	PX090602_Exercise_Capacity_Patient_Weight_Pounds
https://www.phenxtoolkit.org	PX090602230000	PX090602_Exercise_Capacity_Patient_Weight_Kilograms

85909-0

PATIENT HISTORY AND DIAGNOSES

Active

57204-0 From which of the following Inpatient Facilities was the patient discharged within the past 14 days?

Observation ID in Form

Skip Logic

Form Coding Instructions

Fully-Specified Name

Basic Attributes

Normative Answer List LL775-8

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86470-2 Inpatient Discharge Date (most recent)

Observation ID in Form

Fully-Specified Name

Basic Attributes

Member of these Panels

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Example Units

Related Codes

46504-7 Inpatient Facility Diagnosis: ICD-10-CM Code

Term Description

Observation ID in Form

Form Coding Instructions

Fully-Specified Name

Basic Attributes

Normative Answer List LL3174-1

Member of these Panels

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Related Codes

46507-0 Diagnosis Requiring Medical or Treatment Regimen Change Within Past 14 Days

Term Description

Observation ID in Form

Form Coding Instructions

Fully-Specified Name

Basic Attributes

Normative Answer List LL3174-1

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86469-4 Conditions Prior to Medical or Treatment Regimen Change or Inpatient Stay Within Past 14 Days

Observation ID in Form

Form Coding Instructions

Fully-Specified Name

Basic Attributes

Normative Answer List LL252-8

Member of these Panels

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Related Codes

Third Party Copyright

85911-6 Diagnoses, Symptom Control, and Optional Diagnoses

Observation ID in Form

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Fully-Specified Name

Basic Attributes

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85912-4 Primary Diagnosis

Observation ID in Form

Form Coding Instructions

Fully-Specified Name

Basic Attributes

Member of these Panels

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Related Codes

86255-7 Primary Diagnosis: ICD-10-code

Term Description

Observation ID in Form

Form Coding Instructions

Fully-Specified Name

Additional Names

Basic Attributes

Normative Answer List LL3174-1

Member of these Panels

Language Variants Get Info

Related Names

Related Codes

85920-7 Primary Diagnosis Symptom Control Rating

Term Description